Doctor Name: | JAMES ERIC DAVISON |
NPI Number: | 1063839017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 699 |
Business Practice Address: | 186 Hospital Dr Grantsville, WV - 261477100 |
Business Phone Number: | 3043549244 |
Business Fax Number: | 3043549323 |
Mailing Address: | 186 Hospital Dr, GRANTSVILLE |
State: | WV |
Postal Code: | 261477100 |
Phone Number: | 3043549244 |
Fax Number: | 3043549323 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |